Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $13,803.84	Facility		$3,235.94	$4,786.30	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $6,165.95	Professional		$3,467.37	$4,168.69	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $23,442.29 / $31,622.78	Facility		$13,803.84	$23,442.29	$31,622.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $7,413.10	Professional		$3,890.45	$5,128.61	$7,413.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $6,309.57	Professional		$3,981.07	$5,011.87	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,897.79 / $9,120.11	Professional		$3,548.13	$4,897.79	$9,120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,466.84 / $11,481.54	Professional		$3,548.13	$4,466.84	$11,481.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,623.41 / $9,332.54	Professional		$4,466.84	$5,623.41	$9,332.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $7,943.28	Facility		$3,890.45	$5,370.32	$7,943.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $10,000.00	Facility		$2,818.38	$5,011.87	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $10,000.00	Professional		$2,818.38	$5,011.87	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $8,128.31	Professional		$3,162.28	$4,570.88	$8,128.31